| フルテキストURL | A020046000311.pdf ( 2.7MB ) 公開日 2010-04-19
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| タイトル | Ulcerative Colitis complicated by a Leaked Colojejunal Fistula: Report of a Case |
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| 作成者 | Matsuoka, Koji
Hazama, Shoichi
Kawano, Hiroo
Akazawa, Akiko
Higaki, Shingo
Okita, Kiwamu
Tangoku, Akira
Oka, Masaaki
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| 作成者ヨミ | マツオカ, コウジ
ハザマ, ショウイチ
カワノ, ヒロオ
アカザワ, アキコ
ヒガシ, シンゴ
オキタ, キワム
タンゴク, アキラ
オカ, マサアキ
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| 作成者所属 | 山口大学医学部
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| 内容記述（抄録等） | We report here a case of ulcerative colitis (UC) with a leaked colojejunal fistula. The patient was a 25-year-old woman with a history of UC for 14 years and with a colojejunal fistula between the decending colon and the jejunum. She was admitted to our department for a sudden attack of severe abdominal pain. On physical examination, the abdomen was distended and generally tender with signs of peritoneal irritation. Abdominal computed tomography (CT) revealed ascites standing in the abdominal cavity and fluid collection around the descending colon. Accordingly, she was diagnosed as having a panperitonitis. An emergency laparotomy revealed advanced UC with the leaked colojejunal fistula. She underwent a subtotal colectomy with ileostomy and rectostomy and a partial resection of the jejunum including the fistula. The presence of an entero-enteric fistula, of which a colojejunal fistula is one type, is characteristic in Crohn's disease but is the rarest complication in UC, and only 11 cases including our case have been reported in the world. This seems to be the fistula in UC.
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| 本文言語 | eng
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| 著者キーワード | ulcerative colitis
entero-enteric fistula
panperitonitis
leakage
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| 主題 | 医学
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| 資料タイプ | text |
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| ファイル形式 | application/pdf |
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| 出版者 | Yamaguchi University Graduate School of Medicine
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| NII資料タイプ | 紀要論文 |
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| ISSN | 0513-1812
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| NCID | AA00594272
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| 学内刊行物(紀要等) | The bulletin of the Yamaguchi Medical School |
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| 掲載誌名 | The bulletin of the Yamaguchi Medical School |
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| 掲載誌名別表記 | 山口医科大学紀要 |
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| 巻 | 46 |
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| 号 | 3-4 |
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| 開始ページ | 121 |
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| 終了ページ | 125 |
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| 発行日 | 1999-12 |
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| 著者版/出版社版 | 出版社版 |
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| リポジトリID | A020046000311 |
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| 地域区分 | 山口大学
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| URI | http://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020046000311 |
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